{
"description": null,
"_filename": "example/Questionnaire-questionnaire1.json",
"package_name": "hl7.fhir.us.eltss.r4",
"date": "2023-12-15T20:58:10+00:00",
"meta": {
"source": "#KZ0jzPjXDrhCiMif",
"profile": [ "http://hl7.org/fhir/us/eltss/StructureDefinition/Questionnaire-eltss" ],
"versionId": "1",
"lastUpdated": "2020-09-03T10:16:03.512-04:00"
},
"publisher": "HL7 International / Human and Social Services",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "Questionnaire1",
"item": [ {
"text": "Did you choose the setting in which you reside?",
"type": "boolean",
"linkId": "q1"
}, {
"text": "What alternative home and community-based settings were considered?",
"type": "string",
"linkId": "q2"
}, {
"text": "Were you given a choice of services outlined in the plan?",
"type": "boolean",
"linkId": "q3"
}, {
"text": "Did you participate in the selection of services outlined in the plan?",
"type": "boolean",
"linkId": "q4"
}, {
"text": "Do you agree to the services outlined in the plan?",
"type": "boolean",
"linkId": "q5"
}, {
"text": "Were you offered a choice of providers for each service?",
"type": "boolean",
"linkId": "q6"
}, {
"text": "Do you feel you made an informed choice in selecting the provider for each service?",
"type": "boolean",
"linkId": "q7"
} ],
"type": null,
"experimental": null,
"resourceType": "Questionnaire",
"title": null,
"package_version": "2.0.0-ballot",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "hsswg"
} ],
"status": "active",
"id": "57310dee-cda5-4db1-b903-dafd152b771e",
"kind": null,
"url": "http://hl7.org/fhir/us/eltss/Questionnaire/questionnaire1",
"version": "2.0.0-ballot",
"contact": [ {
"name": "HL7 International / Human and Social Services",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/hsswg",
"system": "url"
}, {
"value": "hhswg@lists.HL7.org",
"system": "email"
} ]
} ]
}